MEDICARE: CARLOS R SACASA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	ME57897	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861457947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS R SACASA MD

Provider Business Mailing Address
First Line	:	3601 W COMMERCIAL BLVD
Second Line	:	ANESCO NORTH BROWARD LLC STE 5
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-3300
Country	:	US
Telephone Number	:	954-485-5666
Fax Number	:	954-484-1651

Provider Business Practice Location Address
First Line	:	3601 W COMMERCIAL BLVD
Second Line	:	ANESCO NORTH BROWARD LLC STE 5
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-3300
Country	:	US
Telephone Number	:	954-485-5666
Fax Number	:	954-484-1651

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	09/20/2013

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